Walter Vincent Scott II, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11565 Issued in TX

Practice address

501 N Locust
Clarksville, TX 75426-2711

Phone

(903) 427-3460

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174745251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LOCUST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754262711",
            "telephone_number": "903-427-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LOCUST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754262711",
            "telephone_number": "903-427-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WALTER",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "D11565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivercrest I.S.D.
• Michael Leroy Roan, MA/CCC-SLP
• Rachel Annette Roberts, APRN, FNP-C
• Lisha Runels
• Marilyn Jo Scott, COUNSELOR
• Ashten Simington
• Ravi Kumar Sreerama, M.D.
• Amanda R Stanley, RN
• Lisa Bullard Steinheil, RPH
• Charles Michael Taylor II

• Dentist in Clarksville, TX
• Providers in Clarksville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.